Active NPI
Castle Palliative Care LLC
- Community Based Hospice Care Agency
- Houston, TX
National Provider Identifier
1093385205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CASTLE PALLIATIVE CARE LLC
- Practice address
- 15022 FM 529 Rd BLDG 2
Houston, TX 77095-3248 - Phone
- (832) 231-1679
- Fax
- (281) 990-6716
- NPI assigned
- Jun 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aloysius Agbonye
- Title
- Administrator
- Phone
- (832) 231-1679
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
15022 FM 529 Rd BLDG 2
Houston, TX 77095-3248
Mailing address
15022 FM 529 Rd BLDG 2
Houston, TX 77095-3248
Phone (322) 311-6798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210831003878 | TX | Part A Provider - Hospice | 7012313901 | Practice locations: Houston, TX |
Hospice certification: CCN 971716
- Legal name
- CASTLE PALLIATIVE CARE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 21, 2021
- Last certification
- Oct 21, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Jun 22, 2021 in TX
- Enrollment address
- 15022 FM 529 Road BLG 2
Suite 2B
Houston, TX 77095-3248
Care Compare: Hospice
Medicare Care Compare- Listed as
- Castle Palliative Care LLC
- Ownership
- For-Profit
- Certified
- Oct 21, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
8700 Commerce Park Dr
Ste 208
Houston, TX 77036
Phone (346) 202-7827
15022 FM 529 Rd
Ste 2B
Houston, TX 77095
Phone (832) 231-1679
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Chinazo S Ofoefule | 5% Or Greater Direct Ownership Interest | Nov 1, 2022 | 100% |
| W-2 Managing Employee | Nov 1, 2022 | 100% | |
| Remy W Zockazock | Contracted Managing Employee | Nov 5, 2024 | |
| Aloysius Agbonye | W-2 Managing Employee | Nov 1, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Katy, TX
- NPI 1215381900
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675900800000",
"number": "1093385205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15022 FM 529 RD BLDG 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770953248",
"telephone_number": "322-311-6798",
"fax_number": "281-990-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15022 FM 529 RD BLDG 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770953248",
"telephone_number": "832-231-1679",
"fax_number": "281-990-6716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASTLE PALLIATIVE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-29",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A",
"authorized_official_last_name": "AGBONYE",
"authorized_official_first_name": "ALOYSIUS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "832-231-1679"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.